Hold Harmless Affidavit

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HOLD HARMLESS AFFIDAVIT
The said appearer,___________________________, hereupon declares by these presents that
should the Vehicle Commissioner of the State of Louisiana issue a title covering ___________
______________________________________________________________________. That he
does hereby guarantee title and agrees to save and hold harmless the said commissioner and
any other employees of the State of Louisiana from any and all liability whatsoever for having
issued the said title and further agrees to indemnify them and all subsequent purchases and to
restore to them any loss which may be incurred by them by reason of their having issued the
requested title.
The reason for executing this affidavit is as follows:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
_____________________________________
SIGNED____________________________________
DATE _____________________
Sworn and subscribed before me this ___________ day of ______________ 20______
NOTARY PUBLIC __________________________________________________________

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